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[1]李小梅,姜財(cái),郭進(jìn)華,等.針刀聯(lián)合靜脈自控鎮(zhèn)痛對(duì)胸腔鏡術(shù)后嚴(yán)重疼痛的影響[J].福建醫(yī)藥雜志,2022,44(03):1-4.
　LI Xiaomei,JIANG Cai,GUO Jinhua,et al.Effect of acupotomy combined with intravenous controlled analgesia on severe pain after VATS[J].FUJIAN MEDICAL JOURNAL,2022,44(03):1-4.
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針刀聯(lián)合靜脈自控鎮(zhèn)痛對(duì)胸腔鏡術(shù)后嚴(yán)重疼痛的影響()
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《福建醫(yī)藥雜志》[ISSN:1002-2600/CN:35-1071/R]

卷:
44
期數(shù):
2022年03期
頁碼:
1-4
欄目:
臨床研究
出版日期:
2022-06-15

文章信息/Info

Title:
Effect of acupotomy combined with intravenous controlled analgesia on severe pain after VATS
文章編號(hào):
1002-2600(2022)03-0001-04
作者:
李小梅; 姜財(cái); 郭進(jìn)華; 林忠華1
福建省立醫(yī)院康復(fù)二科(福州 350001)
Author(s):
LI Xiaomei;  JIANG Cai;  GUO Jinhua;  LIN Zhonghua
The Second Department of Rehabilitation, Fujian Provincial Hospital, Fuzhou,Fujian 350001, China
關(guān)鍵詞:
針刀;  靜脈自控鎮(zhèn)痛;  胸腔鏡手術(shù);  疼痛
Keywords:
acupotomy;  patient-controlled intravenous analgesia;  VATS;  pain
分類號(hào):
R614
文獻(xiàn)標(biāo)志碼:
A
摘要:
目的 探討針刀聯(lián)合靜脈自控鎮(zhèn)痛對(duì)電視輔助胸腔鏡手術(shù)(VATS)后嚴(yán)重疼痛患者臨床療效。方法 選取我院胸外科接受VATS術(shù)后第1天出現(xiàn)嚴(yán)重疼痛(VAS≥7)的患者84例為研究對(duì)象,隨機(jī)分為對(duì)照組(單純靜脈自控鎮(zhèn)痛)和治療組(針刀加靜脈自控鎮(zhèn)痛)各42例。分別記錄兩組患者:治療前0.5 h,治療后0 h、24 h、48 h、72 h、1周的咳嗽狀態(tài)下疼痛視覺模擬評(píng)分(VAS); 治療前0.5 h,治療后0 h、24 h、1周的術(shù)后舒適度評(píng)分(BCS); 并記錄兩組治療前后的患側(cè)上肢上舉活動(dòng)度。最終數(shù)據(jù)作統(tǒng)計(jì)分析,以評(píng)估療效。結(jié)果 干預(yù)周期結(jié)束后,兩組患者治療后VAS評(píng)分均明顯低于治療前,且治療組在各時(shí)間點(diǎn)的下降幅度明顯大于對(duì)照組(P<0.05); 兩組患者治療后BCS評(píng)分均明顯高于治療前,且治療組在各時(shí)間點(diǎn)的上升幅度明顯大于對(duì)照組(P<0.05); 治療組患側(cè)上肢上舉活動(dòng)度改善幅度明顯大于對(duì)照組(P<0.05)。結(jié)論 針刀聯(lián)合靜脈自控鎮(zhèn)痛療法可有效緩解VATS術(shù)后疼痛,改善患者術(shù)后舒適度,提高患側(cè)上肢上舉活動(dòng)度,加快術(shù)后康復(fù),適合臨床推廣使用。
Abstract:
Objective To investigate the clinical efficacy of acupotomy combined with patient-controlled intravenous analgesia in patients with severe pain after video-assisted thoracic surgery(VATS).Methods A total of 84 patients with severe pain(VAS≥7)on the first day after VATS in the Thoracic Surgery Department of Fujian Provincial Hospital were selected as the research objects and randomly divided into the control group(patient-controlled intravenous analgesia)and the treatment group(acupotomy combined with patient-controlled intravenous analgesia)with 42 cases in each group.The visual analogue scale(VAS)of pain in the cough state of the two groups of patients was recorded at 0.5 h before treatment, 0 h, 24 h, 48 h, 72 h, and 1 week after treatment; Bruggrmann comfort scale(BCS)was recorded at 0.5 h before treatment, 0 h,24 h,1 week after treatment; and the range of motion of the upper limb on the affected side before and after treatment in the two groups was recorded.The final data were subjected to statistical analysis to assess efficacy.Results After the intervention period, the VAS scores of the two groups of patients after treatment were significantly lower than those before treatment, and the decrease in the treatment group at each time point was significantly greater than that in the control group(P<0.05); the BCS scores of the two groups of patients after treatment were significantly higher than those before treatment, and the increase in the treatment group at each time point was significantly greater than that in the control group(P<0.05); the improvement in the range of motion of the upper limbs on the affected side in the treatment group was significantly greater than that in the control group(P<0.05).Conclusion Acupotomy combined with patient-controlled intravenous analgesia can effectively relieve postoperative pain after VATS, improve postoperative comfort, improve the range of motion of the upper limb on the affected side, and speed up postoperative rehabilitation, which is suitable for clinical application.

參考文獻(xiàn)/References:

[1] 張隆盛,張楷弘,楊鐸,等.老年胸腔鏡術(shù)后連續(xù)前鋸肌平面阻滯與胸椎旁阻滯鎮(zhèn)痛效果比較[J].實(shí)用醫(yī)學(xué)雜志,2021,37(5):654-659.
[2] 時(shí)蓉,吳安石,王云,等.前鋸肌平面阻滯對(duì)胸腔鏡術(shù)后慢性疼痛的影響:前瞻性隨機(jī)對(duì)照研究[J].中國微創(chuàng)外科雜志,2020,20(10):871-874.
[3] 劉飛,張靜,張歡楷,等.超聲引導(dǎo)胸椎旁阻滯治療胸腔鏡手術(shù)后早期中重度急性疼痛的療效觀察[J].中華醫(yī)學(xué)雜志,2017,92(2):119-122.
[4] 馮神樣,朱光,尚興才,等.三孔胸腔鏡肺癌根治術(shù)術(shù)后慢性疼痛影響因素分析[J].航空航天醫(yī)學(xué)雜志,2020,31(4):395-398.
[5] Bardiau F M,Taviaux N F,Albert A,et al. An intervention study to enhance postoperative pain management[J].Anesth Analg,2003,96(1):179-185.
[6] 李彩偉,徐美青,徐廣文,等.單孔與三孔胸腔鏡肺部手術(shù)后急慢性疼痛的對(duì)比研究[J].中國肺癌雜志,2018,21(4):279-284.
[7] 譚輝.胸椎旁神經(jīng)阻滯聯(lián)合靜脈自控鎮(zhèn)痛在胸腔鏡術(shù)后的應(yīng)用效果[J]當(dāng)代醫(yī)學(xué),2020,26(19):61-63.
[8] 李明月,劉偉,賴冰潔,等.老年患者開胸手術(shù)術(shù)后鎮(zhèn)痛的研究進(jìn)展[J].中國老年學(xué)雜志,2016,36(6):1522-1524.
[9] 劉鴻芹,盛一平,張銳.帕瑞昔布鈉聯(lián)合肋間神經(jīng)阻滯麻醉改善胸腔鏡下肺癌患者術(shù)后急性疼痛的效果[J].浙江臨床醫(yī)學(xué)雜志,2019,21(9):1219-1222.
[10] 吳昕儀,張明,王中華.單孔胸腔鏡肺癌根治術(shù)后疼痛的多因素分析[J].中國微創(chuàng)外科雜志,2019,19(9):782-786.
[11] Watanabe A,Watanabe T,Ohsawa H,et al.Avoiding chest tube placement after video-assisted thoracoscopic wedge resection of the lung[J].Eur J Cardiothorac Surg,2004,25(5):872-876.
[12] 李瑞國,王占優(yōu).針刀“三步緩?fù)品謱铀山夥ā敝委熇夏晟窠?jīng)根型頸椎病的臨床效果[J].中國老年學(xué)雜志,2021,41(18):3977-3979.
[13] 佟明亮,陳嘉生,許華.小針刀結(jié)合美式整脊治療腰椎間盤突出癥的療效研究[J].中國全科醫(yī)學(xué),2019,22(S2):88-90.

備注/Memo

備注/Memo:
基金項(xiàng)目:福建省科技計(jì)劃社會(huì)發(fā)展引導(dǎo)性(重點(diǎn))項(xiàng)目(2019Y0054)
1 通信作者,Email:[email protected]
更新日期/Last Update: 2022-06-15